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持续性非卧床腹膜透析患者发病和死亡的相关因素。

Factors associated with morbidity and mortality among patients on CAPD.

作者信息

Nolph K D, Cutler S J, Steinberg S M, Novak J W, Hirschman G H

出版信息

ASAIO Trans. 1987 Apr-Jun;33(2):57-65. doi: 10.1097/00002480-198704000-00003.

DOI:10.1097/00002480-198704000-00003
PMID:3606901
Abstract

Since 1981, the National CAPD Registry, sponsored by the National Institute of Arthritis, Diabetes, Digestive, and Kidney Diseases of the National Institutes of Health, has been systematically collecting demographic and follow-up data on patients receiving continuous ambulatory peritoneal dialysis (CAPD) as maintenance therapy for end-stage renal disease. Using life-table methods, this study has identified the association of diabetic glomerulosclerosis with age over 60 or under 20 years as factors jointly relevant in predicting peritonitis, hospitalization, or death. In addition, these outcomes were more likely to occur if patients were black and had been exposed to other dialytic therapy earlier on. The latter two were the only factors jointly predictive of transfer from CAPD onto hemodialysis. Careful monitoring of patients with the above mentioned characteristics may reduce complications, and lead to greater success with this increasingly popular dialysis modality.

摘要

自1981年以来,由美国国立卫生研究院下属的国立关节炎、糖尿病、消化和肾脏疾病研究所赞助的国家持续性非卧床腹膜透析登记处,一直在系统收集接受持续性非卧床腹膜透析(CAPD)作为终末期肾病维持治疗患者的人口统计学和随访数据。本研究采用寿命表法,确定了糖尿病肾小球硬化与60岁以上或20岁以下年龄作为共同预测腹膜炎、住院或死亡的相关因素。此外,如果患者为黑人且早期接受过其他透析治疗,则这些结局更有可能发生。后两个因素是唯一共同预测从CAPD转为血液透析的因素。对具有上述特征的患者进行仔细监测可能会减少并发症,并使这种越来越受欢迎的透析方式取得更大成功。

相似文献

1
Factors associated with morbidity and mortality among patients on CAPD.持续性非卧床腹膜透析患者发病和死亡的相关因素。
ASAIO Trans. 1987 Apr-Jun;33(2):57-65. doi: 10.1097/00002480-198704000-00003.
2
Mortality risks of peritoneal dialysis and hemodialysis.腹膜透析和血液透析的死亡风险。
Am J Kidney Dis. 1999 Dec;34(6):1065-74. doi: 10.1016/S0272-6386(99)70012-0.
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CAPD in end stage patients with renal disease due to diabetes mellitus--an update.糖尿病肾病终末期患者的持续性非卧床腹膜透析——最新进展
Adv Perit Dial. 1992;8:185-91.
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Findings from the NIH National CAPD registry. January 1985.美国国立卫生研究院国家持续性非卧床腹膜透析登记处的研究结果。1985年1月。
Trans Am Soc Artif Intern Organs. 1985;31:333-7.
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A survey of the NIH CAPD Registry population with end-stage renal disease attributed to diabetic nephropathy.一项针对美国国立卫生研究院慢性腹膜透析登记处中因糖尿病肾病导致终末期肾病患者群体的调查。
J Diabet Complications. 1988 Oct-Dec;2(4):227-32. doi: 10.1016/s0891-6632(88)80014-x.
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The treatment of diabetic renal failure by continuous ambulatory peritoneal dialysis.持续性非卧床腹膜透析治疗糖尿病肾衰竭
Diabet Med. 1989 Jan-Feb;6(1):67-70. doi: 10.1111/j.1464-5491.1989.tb01142.x.
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Continuous ambulatory peritoneal dialysis- a new dimension in the treatment of end-stage renal disease.持续非卧床腹膜透析——终末期肾病治疗的新维度。
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Comparing mortality rates on CAPD/CCPD and hemodialysis. The Canadian experience: fact or fiction?
Perit Dial Int. 1998 Sep-Oct;18(5):478-84.
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Surgical complications of continuous ambulatory peritoneal dialysis.持续性非卧床腹膜透析的手术并发症
Am J Surg. 1990 Dec;160(6):561-5; discussion 565-6. doi: 10.1016/s0002-9610(05)80746-9.
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Ten years' experience with continuous ambulatory peritoneal dialysis.持续非卧床腹膜透析十年经验
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Antimicrobial agents for preventing peritonitis in peritoneal dialysis patients.用于预防腹膜透析患者腹膜炎的抗菌药物。
Cochrane Database Syst Rev. 2017 Apr 8;4(4):CD004679. doi: 10.1002/14651858.CD004679.pub3.
2
Racial disparities in renal replacement therapy.肾脏替代治疗中的种族差异。
J Natl Med Assoc. 2002 Aug;94(8 Suppl):45S-54S.